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reassess after several weeks using objective logs and patient-reported feedback

As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

Reconstituted BPC-157 vial (stored at 2-8C) Insulin syringe, 29-31 gauge, 0.5 inch or 8mm needle Alcohol swabs (70% isopropyl) Sharps disposal container Nitrile gloves (optional but recommended) Gauze or cotton ball for post-injection pressure Mirror (for posterior knee injection) Use the Peptide Reconstitution Calculator to determine the correct amount of bacteriostatic water for your vial

The ozempic alternatives guide covers the differences in detail